Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.07 / $92.46 / $267.98	Facility		$37.07	$92.46	$267.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $37.26 / $128.19	Professional		$27.46	$37.26	$128.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $23.53 / $23.53	Professional		$23.53	$23.53	$23.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $161.80 / $283.86	Facility		$60.80	$161.80	$283.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $25.99 / $43.64	Professional		$5.00	$25.99	$43.64
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $225.32 / $225.32 / $343.62	Facility		$225.32	$225.32	$343.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $48.95 / $76.51	Professional		$34.32	$48.95	$76.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $49.03 / $56.49	Facility		$49.03	$49.03	$56.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $107.72 / $247.25	Facility		$34.27	$107.72	$247.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $35.74 / $82.61	Professional		$25.99	$35.74	$82.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.07 / $368.90 / $368.90	Facility		$122.07	$368.90	$368.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $49.03 / $63.74	Facility		$39.22	$49.03	$63.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $49.03 / $63.89	Professional		$46.46	$49.03	$63.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $49.03 / $122.67	Facility		$39.22	$49.03	$122.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $37.75 / $70.23	Professional		$25.99	$37.75	$70.23
United Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $28.09 / $40.57	Professional		$20.59	$28.09	$40.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $24.21 / $49.03	Professional		$19.12	$24.21	$49.03